| Franciscan Healthcare Wisner Clinic | |
|
2100 21st Cir Ste A Wisner NE 68791-2045 | |
| (402) 529-6516 | |
| (402) 529-6530 |
| Full Name | Franciscan Healthcare Wisner Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 21st Cir, Wisner, Nebraska |
| Authorized Official Name and Position | Tyler J Toline (PRESIDENT & CEO) |
| Authorized Official Contact | 4023722404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Franciscan Healthcare Wisner Clinic 430 N Monitor St West Point NE 68788-1595 Ph: (402) 372-2404 | Franciscan Healthcare Wisner Clinic 2100 21st Cir Ste A Wisner NE 68791-2045 Ph: (402) 529-6516 |
| NPI Number | 1023022951 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 4284624909 |
|---|---|
| Medicare Enrollment ID | O20041025000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023022951 | NPI | - | NPPES |
| 10025190000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wisner Mercy Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 9th St, Wisner, NE 68791 Phone: 402-529-3218 Fax: 402-529-3213 |